NWYM Library Request

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Your Information

Name

Home Address

City

State

Zip


Personal Phone #:	( )	-

Primary email address

Friends Church/Ministry Point *

Do not mail! I will stop by the office and pick it up.

Book(s)/Video(s) you want to check out:

Name of book/video/dvd

We will mail these resources out to you immediately, unless you noted that you would stop by and pick them up at the office. Plan to RETURN THE RESOURCES, within 4 weeks of receiving them.

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